US5994338A - Stabilized pharmaceutical compositions, with quinupristine and dalfopristine base and their preparation - Google Patents

Stabilized pharmaceutical compositions, with quinupristine and dalfopristine base and their preparation Download PDF

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Publication number
US5994338A
US5994338A US09/314,070 US31407099A US5994338A US 5994338 A US5994338 A US 5994338A US 31407099 A US31407099 A US 31407099A US 5994338 A US5994338 A US 5994338A
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pharmaceutical composition
dalfopristine
quinupristine
stabilized
composition
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Inventor
Jean-Paul Bounine
Guillaume Conrath
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King Pharmaceuticals Research and Development Inc
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Rhone Poulenc Rorer SA
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Assigned to RHONE-POULENC RORER S.A. reassignment RHONE-POULENC RORER S.A. ASSIGNMENT OF ASSIGNORS INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: BOUNINE, JEAN-PAUL, CONRATH, GUILLAUME
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/0012—Galenical forms characterised by the site of application
    • A61K9/0019—Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/41—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having five-membered rings with two or more ring hetero atoms, at least one of which being nitrogen, e.g. tetrazole
    • A61K31/42—Oxazoles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00—Medicinal preparations containing organic active ingredients
    • A61K31/33—Heterocyclic compounds
    • A61K31/395—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435—Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
    • A61K31/445—Non condensed piperidines, e.g. piperocaine
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K38/00—Medicinal preparations containing peptides
    • A61K38/04—Peptides having up to 20 amino acids in a fully defined sequence; Derivatives thereof
    • A61K38/08—Peptides having 5 to 11 amino acids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/02—Inorganic compounds
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00—Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/06—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite
    • A61K47/20—Organic compounds, e.g. natural or synthetic hydrocarbons, polyolefins, mineral oil, petrolatum or ozokerite containing sulfur, e.g. dimethyl sulfoxide [DMSO], docusate, sodium lauryl sulfate or aminosulfonic acids
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00—Medicinal preparations characterised by special physical form
    • A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
    • A61K9/19—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/04—Antibacterial agents
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/10—Antimycotics
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
    • A61P31/12—Antivirals

Definitions

  • the present invention relates to stabilized pharmaceutical.compositions intended for the parenteral administration of quinupristine and of dalfopristine components of Synercid®.
  • Synercid® (quinupristine/dalfopristine) is an injectable 30/70 combination, the antibacterial activity of which, in particular with respect to vancomycin-resistant germs, is cited in numerous publications [The Annals of Pharmacotherapy, 29, 1022-1026 (1995); Microbial Drug Resistance, 1, 223-234 (1995)].
  • the solubilization of the isolated components quinupristine or dalfopristine can be obtained in the salt state.
  • compositions comprising the quinupristine/dalfopristine combination by use of at least stoichiometric amounts of methanesulphonic acid or of hydrochloric acid, at a pH within the range [3.5; 5].
  • solutions based on methanesulphonic or hydrochloric acid having a pH in the range [3.5; 5] are sufficiently stable for the production of an industrial preparation and result, depending on the situation, in lyophilisates, in reconstituted solutions after lyophilization and/or in frozen solutions which are stable and thus storable with a view to marketing and/or a therapeutic use.
  • compositions according to the invention are in particular aqueous solutions comprising:
  • an isotonizing agent and/or other pharmaceutically acceptable adjuvants optionally, an isotonizing agent and/or other pharmaceutically acceptable adjuvants;
  • they can be lyophilized by application of the usual techniques, after lowering the temperature and removing the water. They can be taken up again in water at the time of injection. According to yet another aspect of the invention, they can also be frozen.
  • the composition obtained is lyophilized
  • the latter can be taken up in solution again at the time of use in any compatible and pharmaceutically acceptable injectable medium.
  • the lyophilisate can advantageously be taken up again, for example, in water for injectable preparations or in infusion solutions (glucose solution or sodium chloride, in particular).
  • the solution has been frozen (frozen bag, for example), it can be defrosted at the time of use.
  • the lyophilisates can also be taken up again in dilute solution (preferably containing less than 20 mg/ml of active principle), the said solution being stored until the time of use.
  • the present invention can also be applied to other soluble pristinamycin derivatives.
  • it can also be applied to derivatives as described in European Patents EP 133,097, EP 135,410, EP 191,662 and EP 248,703 the disclosures of which are herein incorporated by reference.
  • the stabilized pharmaceutical compositions according to the invention preferably contain concentrations of quinupristine/dalfopristine active principle of between 5 and 250 mg/ml or, in the case of a lyophilisate, in proportions of between 5 and 95%, a proportion of 20 to 90% being more preferred. It is clearly understood that stabilized pharmaceutical compositions of lower concentration can also be produced and clinically used; these solutions also come within the scope of the present invention.
  • the amount of acid depends on the amount of dalfopristine and quinupristine. It is determined so as to have at least stoichiometric proportions and in such a way as to obtain solutions for which the pH is within the range [3.5; 5].
  • the pH of the starting solution is fixed in a range of [3.5; 4.5], preferably 3.5.
  • the pH of the solution to be lyophilized is fixed in a range of [4.5; 5].
  • the stabilized pharmaceutical compositions according to the invention contain a pharmaceutically acceptable adjuvant
  • the latter can be chosen, for example, from cosolvents, stabilizers, cryoprotective agents, desiccating agents, fillers and isotonizing agents.
  • the cosolvents and the solubilizing agents can be chosen from polyethylene glycols (polyethylene glycols 300 and 400), propylene glycol, ethanol and surface-active agents, such as, for example, polysorbate 80 or polyoxyethylenated derivatives (cremophors);
  • the fillers and the cryoprotective agents can in particular be chosen from simple sugars (for example glucose, mannitol, fructose or sorbitol), disaccharides (for example sucrose, lactose, trehalose or maltose) or water-soluble polymers (for example dextrans, carboxymethylcellulose, polyvinylpyrrolidone or gelatin);
  • the stabilizing agents can in particular be chosen from antioxidizing agents, and the like;
  • the isotonizing agents can in particular be chosen from glucose, sodium chloride, glycerol, sorbitol, mannitol, fructose or dextrans 40 and 70.
  • the stabilized pharmaceutical compositions according to the invention are more especially intended for administration by the parenteral route. They can also be used by the oral, ocular or auricular route or in local application on the skin and mucous membranes.
  • the stabilized pharmaceutical compositions according to the invention are prepared by simultaneously or successively dissolving quinupristine, dalfopristine, methanesulphonic acid or hydrochloric acid in water and then adjusting the pH in the range [3.5; 5] and/or adding an isotonizing agent and/or adding other pharmaceutically acceptable adjuvants and, if appropriate, lyophilizing and/or freezing.
  • compositions according to the invention are prepared by dissolving the quinupristine component and then the dalfopristine component in water acidified by methanesulphonic acid or hydrochloric acid, followed, if appropriate, by the adjustment of the pH in the range [3.5; 5] and/or by the addition of an isotonizing agent and/or of other pharmaceutically acceptable adjuvants. They are, if appropriate, lyophilized and/or frozen.
  • the solution is generally prepared and divided up from 0° C. to room temperature, preferably at low temperatures, this temperature depending on the duration of the preparation and on the pH.
  • the operations are carried out in particular at a temperature of less than 10° C.
  • the stabilized pharmaceutical compositions according to the invention can optionally be sterilized. Sterilization is advantageously carried out by sterilizing filtration.
  • the stabilized pharmaceutical compositions according to the invention in the liquid, lyophilized or frozen state, exhibit the advantage of an optimum physicochemical stability which makes possible preservation for a period of time which is sufficient for them to be used to prepare a medicament which can be stored and thus marketed.
  • stabilized pharmaceutical compositions is understood to mean compositions exhibiting not more than:
  • One litre of a 125 mg/ml solution of quinupristine/dalfopristine (30/70), salified by methanesulphonic acid ( ⁇ 16.7 mg/ml), at a pH of 4.75, is prepared by introducing 810 g of water for injectable preparations into a dissolution vessel equipped with a cooling unit. The solution is cooled at a temperature of between 0 and 6° C. throughout the manufacturing. 16.4 g of methanesulphonic acid are added and then 37.5 g of quinupristine, which are dissolved by mechanical stirring, and 87.5 g of dalfopristine, which are also dissolved by mechanical stirring, are successively introduced. The pH of the solution is adjusted to 4.75 by a 1N methanesulphonic acid solution. The solution is made up to 1 litre (1030 g) with water for injectable preparations.
  • This solution is sterilized by sterilized filtration (0.22 ⁇ m) and divided up into bottles [500 mg of quinupristine/dalfopristine (30/70) per bottle] and then lyophilized [freezing: temperature-30° C. to -50° C.; freezing rate approximately 0.5°/min; sublimation: pressure 0.5 mbar; secondary desiccation: pressure ( ⁇ 30 ⁇ bars) temperature 40° C.].
  • the quality and the stability during storage of the lyophilisates or of the reconstituted solution are evaluated by a reverse-phase high performance liquid chromatography (HPLC) method which makes it possible to determine the content of dalfopristine and quinupristine and the content of degradation impurities.
  • HPLC reverse-phase high performance liquid chromatography
  • the method of analysis by HPLC makes it possible to determine the contents of quinupristine and dalfopristine with an accuracy of 2% and the degradation impurities are determined to within about0.1%.
  • the formulation ensures satisfactory stability over a period of at least 72 hours at 4° C. or 6 hours at 25° C. (see Tables IV and V).
  • 125 mg/ml solutions of quinupristine/dalfopristine (30/70), at a pH of 4.50, salified either by hydrochloric acid or by methanesulphonic acid, are prepared according to the following protocol:
  • the solution is made up to 0.8 litre (824 g) with water for injectable preparations.
  • 125 mg/ml solutions of quinupristine/dalfopristine (30/70) are prepared respectively according to Example 1 or 2 at various pH values by addition of a variable amount of 1N methanesulphonic acid; these solutions are intended for lyophilization or for freezing.
  • the pH of the solutions for lyophilization is fixed in a range of between 4.5 and 4.8.
  • the pH of the solutions intended for freezing is fixed in a range of between 3.5 and 4.5.
  • 125 mg/ml solutions of quinupristine/dalfopristine (30/70) are prepared according to Example 1 for which the adjustment of the pH to 4.75 is carried out by variable amounts of 1N methanesulphonic acid (1 to 9 ml/l) and of 0.5N sodium hydroxide (0 to 15 ml/l).
  • Frozen quinupristine/dalfopristine (30/70) solutions are prepared in a concentration range of 5 and 20 mg/ml and at pH values of 3.5 and 5.0 and in the presence of isotonizing agents, such as NaCl and glucose. The stability of the solutions stored in the frozen form is judged satisfactory.
  • 800 g of water for injectable preparations are introduced into a dissolution vessel equipped with a cooling unit. The solution is cooled at a temperature of between 0 and 6° C. throughout the manufacture. 98% of the amount of methanesulphonic acid necessary for the dissolution and for the adjustment of the pH are added. 1.5 g of quinupristine are introduced and dissolved with mechanical stirring.

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  • Medicines That Contain Protein Lipid Enzymes And Other Medicines (AREA)
  • Nitrogen Condensed Heterocyclic Rings (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
US09/314,070 1996-11-19 1999-05-19 Stabilized pharmaceutical compositions, with quinupristine and dalfopristine base and their preparation Expired - Lifetime US5994338A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
FR9614062 1996-11-19
FR9614062A FR2755857B1 (fr) 1996-11-19 1996-11-19 Compositions pharmaceutiques stabilisees, a base de quinupristine et de dalfopristine et leur preparation

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PCT/FR1997/002047 Continuation WO1998022107A1 (fr) 1996-11-19 1997-11-14 Compositions pharmaceutiques stabilisees, a base de quinupristine et de dalfopristine et leur preparation

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6119269A (en) * 1999-09-23 2000-09-19 Imler; Jack Fishing vest with removable storage container system
US20050192213A1 (en) * 1999-03-03 2005-09-01 Nathaniel Milton Echinocandin pharmaceutical formulations containing micelle-forming surfactants
US7005416B2 (en) * 2000-08-03 2006-02-28 Jones Pharma Incorporated Dalfopristine/quinupristine combinations with cefpirome

Families Citing this family (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2772272B1 (fr) * 1997-12-16 2000-01-14 Rhone Poulenc Rorer Sa Compositions pharmaceutiques a base de dalfopristine et de quinupristine et leur preparation
CN1530136A (zh) * 1998-09-25 2004-09-22 ������ҩ�����޹�˾ 抗生素的给药方法
TWI233805B (en) * 1999-07-01 2005-06-11 Fujisawa Pharmaceutical Co Stabilized pharmaceutical composition in lyophilized form as antifungal agent
US6696412B1 (en) 2000-01-20 2004-02-24 Cubist Pharmaceuticals, Inc. High purity lipopeptides, Lipopeptide micelles and processes for preparing same
US20060014674A1 (en) 2000-12-18 2006-01-19 Dennis Keith Methods for preparing purified lipopeptides

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US4590004A (en) * 1983-07-13 1986-05-20 Rhone-Poulenc Sante Pristinamycin derivatives, their preparation and their use
US4798827A (en) * 1986-05-22 1989-01-17 Rhone-Poulenc Sante Synergistin derivatives and pharmaceutical compositions which contain them

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FR2576022B1 (fr) * 1985-01-11 1987-09-11 Rhone Poulenc Sante Nouveaux derives de la pristinamycine ii b, leur preparation et les compositions pharmaceutiques qui les contiennent

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US4590004A (en) * 1983-07-13 1986-05-20 Rhone-Poulenc Sante Pristinamycin derivatives, their preparation and their use
US4798827A (en) * 1986-05-22 1989-01-17 Rhone-Poulenc Sante Synergistin derivatives and pharmaceutical compositions which contain them

Non-Patent Citations (3)

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Title
"Pharmacokinetics and Suction Blister Fluid Penetration of a Semisynthetic Injectable Streptogramin RP 59500 (RP 57669/RP 54476)," European Journal of Clinical Microbiology & Infectious Diseases, vol. 13, No. 9 (Sep. 1994).
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Pharmacokinetics and Suction Blister Fluid Penetration of a Semisynthetic Injectable Streptogramin RP 59500 (RP 57669/RP 54476), European Journal of Clinical Microbiology & Infectious Diseases , vol. 13, No. 9 (Sep. 1994). *

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050192213A1 (en) * 1999-03-03 2005-09-01 Nathaniel Milton Echinocandin pharmaceutical formulations containing micelle-forming surfactants
US7709444B2 (en) 1999-03-03 2010-05-04 Pfizer Inc. Echinocandin pharmaceutical formulations containing micelle-forming surfactants
US6119269A (en) * 1999-09-23 2000-09-19 Imler; Jack Fishing vest with removable storage container system
US7005416B2 (en) * 2000-08-03 2006-02-28 Jones Pharma Incorporated Dalfopristine/quinupristine combinations with cefpirome

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AU5125698A (en) 1998-06-10
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CZ174899A3 (cs) 1999-08-11
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